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WO2009060330A3 - Procédé de déclenchement d'un ventilateur - Google Patents

Procédé de déclenchement d'un ventilateur Download PDF

Info

Publication number
WO2009060330A3
WO2009060330A3 PCT/IB2008/054312 IB2008054312W WO2009060330A3 WO 2009060330 A3 WO2009060330 A3 WO 2009060330A3 IB 2008054312 W IB2008054312 W IB 2008054312W WO 2009060330 A3 WO2009060330 A3 WO 2009060330A3
Authority
WO
WIPO (PCT)
Prior art keywords
ventilator
triggering
intra
patient
thoracic
Prior art date
Application number
PCT/IB2008/054312
Other languages
English (en)
Other versions
WO2009060330A2 (fr
Inventor
Fred Goebel
Original Assignee
Kimberly Clark Co
Fred Goebel
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Kimberly Clark Co, Fred Goebel filed Critical Kimberly Clark Co
Priority to AU2008326162A priority Critical patent/AU2008326162A1/en
Priority to EP08848185A priority patent/EP2211962A2/fr
Priority to MX2010004567A priority patent/MX2010004567A/es
Priority to JP2010532681A priority patent/JP2011502611A/ja
Priority to CA2703228A priority patent/CA2703228A1/fr
Publication of WO2009060330A2 publication Critical patent/WO2009060330A2/fr
Publication of WO2009060330A3 publication Critical patent/WO2009060330A3/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/20—Valves specially adapted to medical respiratory devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/03—Measuring fluid pressure within the body other than blood pressure, e.g. cerebral pressure ; Measuring pressure in body tissues or organs
    • A61B5/036—Measuring fluid pressure within the body other than blood pressure, e.g. cerebral pressure ; Measuring pressure in body tissues or organs by means introduced into body tracts
    • A61B5/037—Measuring oesophageal pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/021—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes operated by electrical means
    • A61M16/022—Control means therefor
    • A61M16/024—Control means therefor including calculation means, e.g. using a processor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/08—Bellows; Connecting tubes ; Water traps; Patient circuits
    • A61M16/0816—Joints or connectors
    • A61M16/0833—T- or Y-type connectors, e.g. Y-piece
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/20—Valves specially adapted to medical respiratory devices
    • A61M16/201—Controlled valves
    • A61M16/202—Controlled valves electrically actuated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/20—Valves specially adapted to medical respiratory devices
    • A61M16/208—Non-controlled one-way valves, e.g. exhalation, check, pop-off non-rebreathing valves
    • A61M16/209—Relief valves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/04—Tracheal tubes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/04—Tracheal tubes
    • A61M16/0434—Cuffs
    • A61M16/044—External cuff pressure control or supply, e.g. synchronisation with respiration
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/04—Tracheal tubes
    • A61M16/0465—Tracheostomy tubes; Devices for performing a tracheostomy; Accessories therefor, e.g. masks, filters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/08—Bellows; Connecting tubes ; Water traps; Patient circuits
    • A61M16/0816—Joints or connectors
    • A61M16/0841—Joints or connectors for sampling
    • A61M16/0858—Pressure sampling ports
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/0015—Accessories therefor, e.g. sensors, vibrators, negative pressure inhalation detectors
    • A61M2016/0018—Accessories therefor, e.g. sensors, vibrators, negative pressure inhalation detectors electrical
    • A61M2016/0021—Accessories therefor, e.g. sensors, vibrators, negative pressure inhalation detectors electrical with a proportional output signal, e.g. from a thermistor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/0027—Accessories therefor, e.g. sensors, vibrators, negative pressure pressure meter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/35—Communication
    • A61M2205/3546—Range
    • A61M2205/3569—Range sublocal, e.g. between console and disposable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/35—Communication
    • A61M2205/3576—Communication with non implanted data transmission devices, e.g. using external transmitter or receiver
    • A61M2205/3592—Communication with non implanted data transmission devices, e.g. using external transmitter or receiver using telemetric means, e.g. radio or optical transmission
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/50—General characteristics of the apparatus with microprocessors or computers
    • A61M2205/502—User interfaces, e.g. screens or keyboards

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Pulmonology (AREA)
  • Hematology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Anesthesiology (AREA)
  • Emergency Medicine (AREA)
  • Pathology (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Biophysics (AREA)
  • Physics & Mathematics (AREA)
  • External Artificial Organs (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Percussion Or Vibration Massage (AREA)
  • Medical Preparation Storing Or Oral Administration Devices (AREA)

Abstract

L'invention porte sur un procédé de commande d'un écoulement de gaz respiratoire d'un ventilateur pour une ventilation assistée ou commandée d'un patient en fonction d'une pression de voies aériennes intrathoracique du patient par utilisation d'un tube trachéal ou d'un tube naso-gastrique. La pression intrathoracique est transmise à un contrôleur et les informations détectées sont utilisées pour commander une vanne afin de ventiler un gaz à partir de la tubulure d'inhalation du ventilateur, déclenchant ainsi un cycle d'inhalation dans le ventilateur.
PCT/IB2008/054312 2007-11-08 2008-10-20 Procédé de déclenchement d'un ventilateur WO2009060330A2 (fr)

Priority Applications (5)

Application Number Priority Date Filing Date Title
AU2008326162A AU2008326162A1 (en) 2007-11-08 2008-10-20 Method of triggering a ventilator
EP08848185A EP2211962A2 (fr) 2007-11-08 2008-10-20 Procédé de déclenchement d'un ventilateur
MX2010004567A MX2010004567A (es) 2007-11-08 2008-10-20 Metodo para accionar un ventilador.
JP2010532681A JP2011502611A (ja) 2007-11-08 2008-10-20 人工呼吸器のトリガ方法
CA2703228A CA2703228A1 (fr) 2007-11-08 2008-10-20 Procede de declenchement d'un ventilateur

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US11/983,221 2007-11-08
US11/983,221 US20090120439A1 (en) 2007-11-08 2007-11-08 Method of triggering a ventilator

Publications (2)

Publication Number Publication Date
WO2009060330A2 WO2009060330A2 (fr) 2009-05-14
WO2009060330A3 true WO2009060330A3 (fr) 2009-07-23

Family

ID=40622551

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IB2008/054312 WO2009060330A2 (fr) 2007-11-08 2008-10-20 Procédé de déclenchement d'un ventilateur

Country Status (7)

Country Link
US (1) US20090120439A1 (fr)
EP (1) EP2211962A2 (fr)
JP (1) JP2011502611A (fr)
AU (1) AU2008326162A1 (fr)
CA (1) CA2703228A1 (fr)
MX (1) MX2010004567A (fr)
WO (1) WO2009060330A2 (fr)

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US8826907B2 (en) 2008-06-06 2014-09-09 Covidien Lp Systems and methods for determining patient effort and/or respiratory parameters in a ventilation system
US8334768B2 (en) * 2009-12-22 2012-12-18 Mindray Ds Usa, Inc. Systems and methods for determining a location of a medical device
SE535827C2 (sv) * 2010-05-17 2013-01-02 Mindray Medical Sweden Ab Pneumatisk transienthanterare för anslutning och styrning av trycket i ett andningssystem, samt förfarande för att styra andningssystemet
WO2011144543A1 (fr) * 2010-05-17 2011-11-24 Mindray Medical Sweden Ab Actionneur pneumatique transitoire, et procédé d'actionnement transitoire
US20110284007A1 (en) * 2010-05-21 2011-11-24 Pierre Peron Positive pressure device
US8783250B2 (en) 2011-02-27 2014-07-22 Covidien Lp Methods and systems for transitory ventilation support
US10206802B2 (en) 2011-03-07 2019-02-19 Theranova, Llc Wearable apparatus for the treatment or prevention of osteopenia and osteoporosis, stimulating bone growth, preserving or improving bone mineral density, and inhibiting adipogenesis
US9655555B2 (en) * 2011-03-07 2017-05-23 Potrero Medical, Inc. Sensing foley catheter
US8714154B2 (en) 2011-03-30 2014-05-06 Covidien Lp Systems and methods for automatic adjustment of ventilator settings
US8776792B2 (en) 2011-04-29 2014-07-15 Covidien Lp Methods and systems for volume-targeted minimum pressure-control ventilation
US8776796B2 (en) 2011-12-09 2014-07-15 Colabs, Inc. Apparatus and method for improved assisted ventilation
US11969549B2 (en) 2011-12-09 2024-04-30 Colabs Medical, Inc. Apparatus and method for improved assisted ventilation
US9707363B2 (en) 2012-03-29 2017-07-18 Sonarmed Inc. System and method for use of acoustic reflectometry information in ventilation devices
ES2706754T3 (es) * 2012-03-29 2019-04-01 Jeffrey P Mansfield Sistema y método para uso de información de reflectometría acústica en dispositivos de respiración
US10362967B2 (en) 2012-07-09 2019-07-30 Covidien Lp Systems and methods for missed breath detection and indication
JP6568196B2 (ja) * 2014-03-21 2019-08-28 コーラブス メディカル，インコーポレイテッド 改善された補助換気用の装置及び方法
US9808591B2 (en) 2014-08-15 2017-11-07 Covidien Lp Methods and systems for breath delivery synchronization
US9950129B2 (en) 2014-10-27 2018-04-24 Covidien Lp Ventilation triggering using change-point detection
EP3744375B1 (fr) 2015-03-26 2023-08-16 Covidien LP Système amélioré de guidage et de surveillance acoustique pour faciliter le placement correct de tubes endotracheaux
CN105536208A (zh) * 2015-12-14 2016-05-04 江门大诚医疗器械有限公司 一种智能呼吸训练系统
US10729621B2 (en) 2016-05-31 2020-08-04 Sonarmed Inc. Acoustic reflectometry device in catheters
EP3661437B1 (fr) 2017-08-04 2023-09-27 Covidien LP Systèmes d'aspiration à guidage acoustique pour tubes endotrachéaux
EP3793656A1 (fr) 2018-05-14 2021-03-24 Covidien LP Systèmes et méthodes de détection d'effort respiratoire utilisant une distorsion de signal
US11752287B2 (en) 2018-10-03 2023-09-12 Covidien Lp Systems and methods for automatic cycling or cycling detection
DE102020001440A1 (de) 2020-03-06 2021-09-09 Drägerwerk AG & Co. KGaA Beatmungsvorrichtung
EP4149348A1 (fr) * 2020-05-15 2023-03-22 Creative Balloons GmbH Dispositif et procédé pour effectuer des mesures alternées de pressions thoraciques et assurer l'étanchéité vis-à-vis de sécrétions oesophagiennes
US20220218927A1 (en) * 2021-01-08 2022-07-14 Airmid Critical Care Products, Inc. Data-integrated artificial ventilation system

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US20030010339A1 (en) * 1999-02-03 2003-01-16 University Of Florida Method and apparatus for nullifying the imposed work of breathing
US20030015202A1 (en) * 2000-08-17 2003-01-23 University Of Florida Endotracheal tube pressure monitoring system and method of using same
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US20070044798A1 (en) * 2005-08-31 2007-03-01 Levi Andrew P Method for use with the pressure triggering of medical ventilators

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US20030010339A1 (en) * 1999-02-03 2003-01-16 University Of Florida Method and apparatus for nullifying the imposed work of breathing
US20030015202A1 (en) * 2000-08-17 2003-01-23 University Of Florida Endotracheal tube pressure monitoring system and method of using same
US20030000526A1 (en) * 2001-03-30 2003-01-02 Fred Gobel Method for controlling a ventilator, and system therefor
US20040231673A1 (en) * 2001-05-10 2004-11-25 Hajo Reissmann Device for artificial respiration with an endotracheal tube
US20070044798A1 (en) * 2005-08-31 2007-03-01 Levi Andrew P Method for use with the pressure triggering of medical ventilators

Also Published As

Publication number Publication date
CA2703228A1 (fr) 2009-05-14
WO2009060330A2 (fr) 2009-05-14
JP2011502611A (ja) 2011-01-27
US20090120439A1 (en) 2009-05-14
EP2211962A2 (fr) 2010-08-04
AU2008326162A1 (en) 2009-05-14
MX2010004567A (es) 2010-05-05

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